09-104868 Sign
City of Federal Way
Community Development Services Per t #: 09-104868-00-SG
P.O.Box 9718
Federal Way, 98063-9
Fax: Request Line:
Ph:(253)835-2607 Fax (253)8335-5- Ins (253)835-3050
p q (
Project Name: WAYSIDE UNITED CHURCH OF CHRIST
Project Address: 2000 SW DASH POINT RD Parcel Number: 122103 9052
Project Description: Installation of aluminum/polystyrene panel on(2)faces of existing routed wood sign.
Owner Applicant Contractor
WAYSIDE UNITED CHURCH OF CHRIST WAYSIDE UNITED CHURCH OF CHRIST WAYSIDE UNITED CHURCH OF CHRIST
2000 S DASH POINT RD 2000 S DASH POINT RD 2000 S DASH POINT RD
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
Reg.# Sign Type Illuminated #Sign Setback Sign Face Sign Face Sign Height Base Landscape
Faces (Ft.) Width(Ft.) Height(Ft.) (Ft.) Height(Ft.) Area(Sq Ft.)
Sign A 09-0132 Monument 2 0.00 10.00 2.50 4.75 2.25 0.00
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'441C,
Comprehensive PTA tion ".•Medium Den ' Zoning De"*., .� r• r ��� � W
rde�l
PERMIT EXPIRES Sunday, June 13, 2010
Permit Issued on Tuesday, December 15, 2009
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
A" and the City of Federal Way.
Owner or agent: / of I Date: 1 �_ S )<)° I
.- . - THIS CARD IS TO MAIN ON-SITE
CITY OF
' Construction I ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 09-104868-00-SG Address: 2000 SW DASH POINT RD
Owner: WAYSIDE UNITED CHURCH OF CF FEDERAL WAY, WA 98023
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as
possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
CI Final-Electrical(4055) El Final-S. (4085) --
Approved roved
By Date By W Date 1 YQ�.
I
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
1 11P6
CITY OF GN PERMIT
'Federal Way DEC 15 �° 0(c- Sr F/
PLICATION
CITY • r •
•
� PROPERTY INFORMATION
SITE ADDRESS 7—O" k 111- Fit-k( t1it GL'v4 /
0023 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# l () v\ l o3 - 90 5 ZONING DESIGNATION S AV ,
• PROJECT INFORMATION
TYPE OF PROJECT(Check all that apply): ❑ PERMANENT ❑TEMPORARY ❑NEW ❑ALTERATION %REFACE ❑EXEMPT
❑ ELECTRICAL(To attach to existing J-box-include on this permit)
❑ ELECTRICAL(New/altered circuit&J-box added-separate permit is required)
NUMBER OF SIGNS APPLIED FOR WITH THIS APPLICATION: Wall Mounted: Freestanding:
TOTAL ESTIMATED PROJECT COST: $ d 700.UJ d/ I
DETAILED PROJECT DESCRIPTION: 4ei `J/Y_pv n fY 4 !tA,o' t h�,w1 /ii 6,7 Cep 4/ *1 (0 f+" FX l d /1 l 1
y / / J
16 Q fed t-,0 d s4 . Ate, P ( /60r,'41 s.JI 6C Lo i fete 'A-1'1)i eyi f tf,, t '*t'.
Al dl/r•( to c f ritc,v,5.0 dU S/c/. (if ( •
BUSINESS NAME ON SIGN: hi4ys(�( V/tl ��\v/el. d v" (-il✓!S
/
• PEOPLE INFORMATION
SIGN OWNER: NAME: /� PRIMARY PHONE
Wt,yslcLP Nth'I (,�iv"et. ai ( i s' Os) ) b'3/ - 0 'J
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): FAX NUMBER
JQo A W� (253 ) S3J' -1605
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: E-MAIL ADDRESS
164'> �( G�k� ft- ?fie)) c-C6tc ew;kys; vcc .ay
CONTRACTOR: COMPANY N APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): CELL PHONE
) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER
( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: E-MAIL ADDRESS
APPLICANT COMPANY N APPLICANT NAME PRIMARY PHONE
MAILING ADDRESS CITY,STATE,ZIP FAX NUMBER
( )
RELATIONSHIP TO PROJECT E-MAIL ADDRESS
❑ Contractor ❑ Tenant ❑ Other
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS:
R
CONTACT CA1°!/� :5kk,6v, ( -9 ) 6,3S -05il S- QCti C .-a 5�a(✓(C:0c •
• SIGNATURE ✓
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and
further,that I am authorized by the owner of the above premises to perform the work for which the permit application is made
SIGNATURE / / i DATE: /I'/0 '
COMMUNITY DEVELOPMENT SERVICES•33325 8Th AVENUE SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-835-2607•FAX:253-835-2609
• **_ ,MPORARY SIGN APPLICATIONS ON k*
TYPE/PURPOSE OF EVENT:
DATE OF INSTALLATION: DATE OF REMOVAL: TOTAL CALENDAR DAYS:
DESCRIPTION OF PROPOSED SIGNAGE:
• TYPE OF SIGN(S) (Indicate number of each)
PERMANENT FREE STANDING: I MONUMENT PEDESTAL POLE TENANT DIRECTORY OTHER
OTHER(Describe)
PERMANENT BUILDING MOUNTED: AWNING CABINET CHANNEL LETTERS TENANT DIRECTORY
OTHER(Describe)
• DETAILED SIGN INFORMATION
FREE STANDING SIGNS
SIGN TYPE SIGN AREA(SQ.FT.) ILLUMINATED? REFACE? TOTAL HEIGHT BASE HEIGHT(FT)
WIDTH x HEIGHT x#OF FACES NO I INT/EXT YES/NO (Fr)
A 10 x ..c x �- = So C VPS f !' '
x x
C
x -
STREET FRONTAGE(LINEAR FEET):
BUILDING MOUNTED SIGNS
SIGN TYPE SIGN AREA(SQ.FT.) ILLUMINATED? BUILDING ELEVATION EXPOSED BUILDING FACE
WIDTH x HEIGHT x#OF FACES NO/INT/EXT (N,S,E,W) (SQ.FT.)
A
x x =
x x =
x x =
D
x x =
E
x x =
LARGEST EXPOSED BUILDING FACE(SQUARE FEET):
**Foot oFfict USE aftLY*CT34',
ZONING DESIGNATION: PROFILE: ❑ HIGH ❑ MEDIUM ❑ LOW ❑FREEWAY
BUILDING MOUNTED SIGN(S) FREE STANDING SIGN(S)
AREA PERMITTED: AREA PERMITTED:
AREA PROPOSED: AREA PROPOSED:
LARGEST BUILDING FACADE: STREET FRONTAGE:
NUMBER OF SIGNS ALLOWED: NUMBER OF SIGNS ALLOWED:
LAND USE APPROVAL BY: DATE: STRUCTURAL APPROVAL BY: DATE:
REGISTRATION NUMBER: REGISTRATION NUMBER:
REGISTRATION NUMBER: REGISTRATION NUMBER:
REGISTRATION NUMBER: REGISTRATION NUMBER:
,
, PERMIT #: 09-104868-00-SG
' ADDRESS: 2000 SW Dash Point Road
∎. 3. ALligtUsil PROJECT: F/S Sign Reface
WAYSIDE UNITED CHURCH OF CHRIST
• DATE: 12/15/09
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